JENALE LARAE KING (NPI# 1619518370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619518370 |
| Entity Type | Individual |
| Full Name | JENALE LARAE KING |
| Practice Address |
14813 Oak St Dolton IL 60419-2609 |
| Practice Telephone | 7735876435 |
| Mailing Telephone | 7735876435 |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2019-10-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209017087 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
14813 OAK ST |
| City | DOLTON |
| State | IL |
| Zip Code | 60419-2609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063985174 | Adesola O Bello | Occupational Therapist | 15325 Dante Ave, Dolton, IL 60419 | 2019-01-10 |
| 1780159657 | Angela Denice Carter | Social Worker | 15400 University, Dolton, IL 60419 | 2018-10-08 |
| 1417322165 | Gregory Peck Stapleton Sr. | Non-emergency Medical Transport (VAN) | 15320 South Evers, Dolton, IL 60419 | 2015-12-07 |
| 1780055624 | Royal Estates Assistive Living LLC | Assisted Living Facility | 1515 E 154th St., Dolton, IL 60419 | 2015-10-19 |
| 1013217264 | Bestmed-care Services,ltd | Home Health | 15008 S Woodlawn Avenue, Dolton, IL 60419 | 2010-10-21 |
| 1689905168 | Faith Connections Home Health and Professional Service Corporation | Home Health | 15335 Sunset Dr, Dolton, IL 60419 | 2010-01-22 |
| 1053555235 | Aunt Martha's Youth Service Center, Inc | Community Based Residential Treatment Facility, Mental Illness | 14449 Vanburen, Dolton, IL 60419 | 2009-05-01 |
| 1912163437 | Quality Dental, Inc | Dentist | 1121 E. Sibley Blvd, Dolton, IL 60419 | 2008-08-04 |
| 1013138171 | Valerie Denise Hicks-beal | Developmental Therapist | 14501 S. Dobson, Dolton, IL 60419 | 2007-05-02 |
| 1417178096 | Rhonda D Williams | Occupational Therapy Assistant | 15205 Diekman Court, Dolton, IL 60419 | 2007-05-01 |
| Find all providers in zip 60419 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487026134 | Leslie Simone Williams | Nurse Practitioner | 14308 Minerva Ave, Dolton, IL 60419-1343 | 2015-10-21 |
| 1144430323 | Julia Austin | Nurse Practitioner | 14340 Avalon Ave, Dolton, IL 60419-1306 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760277 | Jennifer Michelle Kennedy | Nurse Practitioner | 3006 Lakeview Dr, Metropolis, IL 62960-3119 | 2020-11-07 |
| 1881295541 | Britney Julia Durst | Nurse Practitioner | 5905 N Prospect Rd, Peoria, IL 61614-4311 | 2020-11-07 |
| 1952902884 | Julia Ann Gottschalk | Nurse Practitioner | 1979 Mcdowell Rd, Unit 103, Naperville, IL 60563 | 2020-11-06 |
| 1932700911 | Laura Ivette Portillo | Nurse Practitioner | 2727 N Marmora Ave, Chicago, IL 60639-1219 | 2020-11-05 |
| 1265033385 | Carolle M Derradji | Nurse Practitioner | 3256 W Potomac Ave, Chicago, IL 60651-2411 | 2020-11-04 |
| 1104427293 | Katie Michelle O'halloran | Nurse Practitioner | 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 | 2020-11-04 |
| 1598365140 | Caitlyn Windsor | Nurse Practitioner | 24525 Grange Rd, Geneseo, IL 61254-8429 | 2020-10-31 |
| 1578163515 | Deanna Bassette | Nurse Practitioner | 243 E 31st St Apt 401, Chicago, IL 60616-5212 | 2020-10-29 |
| 1891395745 | Vrunda Shah Patel | Nurse Practitioner | 933 W Van Buren St Apt 502, Chicago, IL 60607-3583 | 2020-10-29 |
| 1346840337 | Catherine Suh | Nurse Practitioner | 1380 Marcy Ln, Wheeling, IL 60090-4422 | 2020-10-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.